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  1. 1. CARD CARDIOLOGY GOALS AND OBJECTIVES _____________________________________________________________________________________ ROTATION DIRECTOR Rahele Lameh, MD UTSW Family Medicine Faculty Clinic 214-648-1372 214- (pager) ATTENDING Berge Tasian, MD 5939 Harry Hines, Suite 935 214-645-7500 CALL FREQUENCY No call VACATION Five days vacation allowed in this month ROTATION DAYS/HOURS Monday through Friday ROTATION GRID MON TUE WED THUR FRI AM Card Card Card Card FMC PM Card Conference Card Card FMC INTRODUCTION Cardiology is one of the subspecialties of internal medicine. In order to broaden and deepen the exposure to this area of internal medicine, a rotation with a subspecialty preceptor is provided. The experience mirrors the practice of the subspecialist, broadens the understanding that the resident has for the subspecialty and how the subspecialist performs consultations, and makes the residents more comfortable in dealing with the common areas of the subspecialty and in knowing when to refer a patient appropriately. EDUCATIONAL GOALS Upon completion of the month rotation a resident should be able to: Patient Care 1. Manage common cardiology problems faced daily by a family physician 2. Demonstrate proficiency in doing cardiac exams 3. Demonstrate proficiency in EKG interpretations Communication 1. Discuss cardiology topics with family members and patients. 2. Efficiently communicate with a cardiologist and cardiology fellows Revised 7/22/2010mpp
  2. 2. CARD Medical Knowledge 1. Read and interpret EKGs 2. Discuss common cardiology issues such as CAD, Arial Fibrillatia, acute Coronary syndrome, Hypertension, and hyperlidemia Problem Based Learning 1. Apply EBM to solve patient problems, improve patient care, and appraise and assimilate scientific evidence System Based Practice 1. Code correctly for clinical cardiology cases 2. Call on the resources of a community and health care system to solve cardiology issues. Professionalism 1. Work effectively with cardiology staff and consultants to improve patient care, decrease cost, promote wellness, provide patient education, and prevent disease 2. Practice ethical, reasonable medical care for all 3. Follow all the policies of the program at Parkland Hospital and respect the policies of CMC and UTSW EDUCATIONAL ACTIVITIES To accomplish the goals, the resident will: Patient Care 1. See patients in the attending’s practice completing an appropriate cardiology focused history. 2. Document a cardiology exam, and make an oral and written cardiology presentation. 3. Establish and record a cardiac differential diagnosis and indicated treatment plan Communication 1. Communicate with family members about cardiology issues in practical language 2. Communicate efficiently and professionally with cardiology consultant 3. Discuss appropriate cardiology consultation use with the attending. 4. Recommend appropriate follow up and provide patient education information to patients and families Medical Knowledge 1. Read and interpret EKGs 2. Discuss common cardiac topics such as Atrial fibrillation, CAD, Elected Lipids, CHF, Acute Coronary Syndrome 3. Read MedChallenger modules as assigned. Problem Based Knowledge 1. Use EBM to solve cardiac problem and assess current cardiology knowledge, guidelines and recommendations Revised 7/22/2010mpp
  3. 3. CARD System Based Practice 1. Code correctly for procedures 2. Access community and health care system resources to solve cardiology problem when appropriate. Professionalism 1. Work with cardiology staff and cardiology consultants to improve patient care, decrease cost, promote wellness, provide patient education, and prevent disease. 2. Demonstrate responsible behavior with cardiology consultants and their patients. 3. Follow all policies of the program at Parkland Hospital and respect the policies of CMC and UTSW METHODOLOGY Educational experience in cardiology will be provided in both a block and a longitudinal basis. 1. Rotation: The UTSW Family Practice PGY-1 cardiology rotation is a month long experience with one of the St. Paul cardiologists. During the rotation, the resident will see the cardiology consults in the hospital, present them to the cardiologist, and formulate a plan. The resident will also see patients in the outpatient cardiology clinics. 2. FPC: Residents will see cardiology problems during all three years at the FPC. Instruction will be provided by clinic staff with appropriate consultation. 3. Didactic: The preceptor will provide didactic sessions and they will be included in the weekly resident’s lecture rotation cycle. FAMILY MEDICINE CLINIC The resident will be in clinic 2 half-days a week during this rotation and will also attend Wednesday afternoon family medicine conference. EVALUATION PROCESS The resident will be evaluated by the staff cardiologist using the standard evaluation form. Satisfactory completion of the rotation will be determined by the director of the family medicine residency program in consultation with the preceptor. Credit for the rotation requires completion of the following modules in MedChallenger: 1) Cardiovascular Disorders 2) Chest Radiology 3) ECG interpretation READING LIST At the discretion of and with guidance of the subspecialist preceptor. 1. Noble, Primary Care Medicine 2. Grauer, A Practical Guide to ECG Interpretation Revised 7/22/2010mpp
  4. 4. CARD 3. Braunwald, Heart Disease Revised 7/22/2010mpp